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Individual
LUIS ALEXANDER MIRANDA TORRES
Active
Individual
LUIS ALEXANDER MIRANDA TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12861
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060902
CRUZKZUL
—
01
—
2002469
ACAA
—
01
—
4012861
UIA
—
01
—
4288
PMC
—
01
—
600335
MMM
—
01
—
7360028
HUMANA INSURANCE
—
01
—
90011
SSS
—
01
—
M00085
MENONITA
—
01
—
PE3801
PALIC
—
Enumeration date
08/29/2006
Last updated
02/13/2017
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